Active NPI
Pennirae Hunt Frisbie, PA
- Physician Assistant
- Pflugerville, TX
National Provider Identifier
1114223070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05022
- Practice address
- 1616 FM 685
106
Pflugerville, TX 78660-7536 - Phone
- (512) 252-9094
- Fax
- (512) 252-9095
- NPI assigned
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05022 | TX | Primary |
Addresses
Primary practice location
1616 FM 685
106
Pflugerville, TX 78660-7536
Mailing address
1616 FM 685
106
Pflugerville, TX 78660-7536
Phone (210) 323-7464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1114223070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 FM 685",
"address_2": "106",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786607536",
"telephone_number": "210-323-7464",
"fax_number": "512-334-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 FM 685",
"address_2": "106",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786607536",
"telephone_number": "512-252-9094",
"fax_number": "512-252-9095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRISBIE",
"first_name": "PENNIRAE",
"middle_name": "HUNT",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.